Provider Demographics
NPI:1902895774
Name:KURZ, RALUCA NEDELCU (PHD, MS, LCGC)
Entity type:Individual
Prefix:DR
First Name:RALUCA
Middle Name:NEDELCU
Last Name:KURZ
Suffix:
Gender:F
Credentials:PHD, MS, LCGC
Other - Prefix:
Other - First Name:RALUCA
Other - Middle Name:
Other - Last Name:NEDELCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:PO BOX 3084
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-1084
Mailing Address - Country:US
Mailing Address - Phone:310-729-8873
Mailing Address - Fax:
Practice Address - Street 1:25969 SOUTH NORMANDIE AVE
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710
Practice Address - Country:US
Practice Address - Phone:310-729-8873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000164170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGC000164OtherLICENSED GENETIC COUNSELOR